PharmacyChecker has published a comprehensive report on where drugs sold in the United States are made entitled “Not Made in the USA.” Get the report here: https://www.pharmacychecker.com/research/not-made-in-the-usa/ Many consumer products clearly state where those products are made. Not so for prescription medications. Where our drugs are made and where their main ingredients are sourced affects drug safety, affordability, availability, and even national security — concerns that have come to the fore as a result of the global pandemic. Yet there is too little transparency and too much misinformation surrounding the supply chain of the drugs we take. “Not Made in the USA” investigates and details the country of manufacture and the source country for active pharmaceutical ingredients among widely used, brand name prescription drugs. The data shows that the majority of brand name prescription drugs Americans take are not made in the U.S.A., rather they are made in other high-income countries with equally — if not more — stringent pharmaceutical manufacturing capabilities than the United States. As a corollary, it becomes clear that imports of drugs from licensed pharmacies or wholesalers in many countries are no less safe — but much less expensive — than drugs purchased domestically. This is critical information in the debate on whether expansion of drug importation to lower drug prices would be effective and safe for the American consumer. “Not Made in the USA” includes a thorough examination of drug labels as applied by manufacturers (i.e., not repackagers or relabelers) and an analysis of federal drug labeling laws along with the conflicting FDA, FDCA and CBP definitions of a drug’s country of origin. The report identifies countries of manufacture for the top 100 drugs by total expenditures in Medicare Part D in 2018. Looking at wholesale and retail channels, “Not Made in the USA” discusses the vast domestic vs. international price discrepancies of these top 100 drugs. To analyze safety issues relating to drug importation and prices, the report discusses global supply chain issues, including FDA registration and recordkeeping of foreign made drugs; brand versus generic drug supply quality concerns; and issues of national security. Finally, and in depth, the report identifies and analyzes proposed drug importation laws, regulations, and rules that could vastly improve drug affordability for American consumers and government payors. ABOUT PHARMACYCHECKER PharmacyChecker fills a critical need for Americans who seek affordable prescription medications, whether through local coupons for U.S. pharmacy savings or international mail order savings, providing them with information that protects their health and safety on the Internet. Visit www.pharmacychecker.com for more information. PharmacyChecker’s mission, since its founding in 2002, is to ensure that consumers are properly informed about purchasing safe and affordable medication online to meet their individual health needs. PharmacyChecker verifications and price comparisons have been referenced by AARP Magazine, the New York Times, the Wall Street Journal, Yahoo Finance, and many others. We are a stakeholder in the online, consumer-driven health care community, seeking a safe internet environment that promotes innovation and new business models that serve the public health. ABOUT GABRIEL LEVITT Gabriel Levitt is a public advocate for prescription drug affordability in America, Internet freedom, and the United Nations. Gabriel is the president and co-founder of PharmacyChecker. He has testified before Congress on issues relating to access to affordable medicines and Internet freedom, published an op-ed in the New York Times about online pharmacies and personal drug importation, and is the proud author of a chapter in an anthology about defeating the Stop Online Piracy Act (SOPA). He is founder of Prescription Justice, a non-profit organization dedicated to lowering drug prices in America, and is on the board of advisors for the Business Initiative for Health Policy (BIHP). Mr. Levitt is president emeritus of the United Nations Association Brooklyn Chapter. Mr. Levitt received his M.A. in International Relations from American University and a bachelor's degree in International Relations and Political Science from Roger Williams University. *This information is neither intended nor implied to be a substitute for professional medical advice, nor is it an endorsement of any product or service. If you are considering purchasing medication from outside the U.S., be aware that, in most circumstances, it is technically not legal for individuals to import prescription drugs; however, U.S. government officials have stated that individuals who order non-controlled prescription drugs from Canada or other foreign sources (up to a three-month supply) for their own use are not being pursued or prosecuted.